Troubleshooting Information; Additional Information; Warranty; Air Travel - Atos Medical Provox ActiValve Patient Manual

Provox LaryTube: A silicone laryngectomy tube
intended to support shrinking stomas while retaining
other rehabilitation devices of the Provox System.
Provox LaryButton: A soft, self-retaining silicone
stoma button intended to support shrinking stomas
while retaining other rehabilitation devices of the
Provox System.

4. Troubleshooting Information

It is the responsibility of your clinician to inform you
about risks and benefits of prosthetic voice rehabilitation
and to instruct you what to do in case you may encounter
adverse events.
• Symptom: Speaking is sometimes not possible (valve
does not open).
Probable cause: The valve lid sticks to the valve seat,
preventing the valve from opening. This becomes
more likely the longer the valve has not been in use
(e.g. overnight).
What to do: Clean the prosthesis and lubricate it (see
section Cleaning and Maintenance). If cleaning and
lubricating does not help: Contact your clinician.
• Symptom: Coughing (triggered by drinking or eating)
while the prosthesis is in place.
Probable cause: Leakage through or around the
valve.
What to do: Clean the prosthesis. There may be food
remnants preventing the valve from proper closure.
If cleaning does not help: You can close the prosthesis
with a Provox Plug. If the leakage stops, the prosthesis
needs to be replaced. Contact your clinician to have
the prosthesis replaced. While eating and drinking
you can use a Provox Plug to prevent leakage.
If the problem persists, even with the Provox Plug
in place: You may have some leakage around the
prosthesis. Contact your clinician.
• Symptom: Speaking becomes increasingly difficult.
Probable cause: Valve obstruction, tissue swelling
in the throat.
What to do: Clean the prosthesis. There may be food
remnants increasing airflow resistance.
If that does not help: Contact your clinician.
• Symptoms: Pain, heat, swelling, and rash (together
or alone) in the area of the puncture.
Probable cause: Tissue inflammation or infection
What to do: Contact your clinician immediately.
12
• Symptom: Coughing, prosthesis is missing
Probable cause: Accidental swallowing or accidental
aspiration of the prosthesis.
What to do: Seek immediate medical treatment!
• Symptoms: Traces of blood are seen on the Brush
after brushing.
Probable cause: Tissue inflammation and infections
at the esophageal side.
What to do: Contact your clinician immediately.

5. Additional Information

5.1 Warranty

See disclaimer section.

5.2 Air travel

This device contains 2 magnets; Size 1-1.5 mm. weight
0.15 – 0.2 gram. The magnets are unlikely to set off metal
detectors such as those used in airports but in order to
avoid incidents it could be advisable to inform the security
personnel in advance of your voice prostheses and show
them your Provox ActiValve User Card.

5.3 Date of Printing

See version number on the back cover of this manual.

5.4 User Assistance Information

For additional help or information please see back cover
of this manual for contact information.